Individual
AMY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12018 S ELM ST STE 111, JENKS, OK 74037-3653
(918) 404-5066
(918) 296-7121
Mailing address
12018 S ELM ST STE 111, JENKS, OK 74037-3653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
203689
OK
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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